National Provider Identifier
Jonathan Ailsworth
Jonathan Ailsworth is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (901) 406-8693.
Profile Overview
- NPI
- 1124978176
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 30, 2026
- Last Updated
- January 30, 2026
Practice Location
- 113 Village Cir Apt C
- Ithaca, NY 14850-8595
Phone: (901) 406-8693
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1124978176
- Entity Type
- Individual
- Last Name
- Ailsworth
- First Name
- Jonathan
- Mailing Street Address
- 113 Village Cir Apt C
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-8595
- Mailing Country
- US
- Mailing Phone
- (901) 406-8693
- Practice Street Address
- 113 Village Cir Apt C
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-8595
- Practice Country
- US
- Practice Phone
- (901) 406-8693
- Enumeration Date
- January 30, 2026
- Last Updated
- January 30, 2026
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- January 30, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)